Access to a specialist can, and will, vary from country to country - depending on availability and the health care structure. 

Our provider directory (a searchable map of peer recommended providers) was updated in February 2020 to include submissions of those health care professionals who have good knowledge of treating surgical menopause for those with hormone sensitivities as PMDD - use the filter option to see who has been submitted so far. 

We know that good care for surgical menopause can be hard to find, and the process can be frustrating. However, we strongly encourage you to keep searching until you find someone knowledgeable and supportive, as the right doctor can make all the difference in terms of your quality of life.  Our peer support team can help you search so do reach out to us if you cannot find anyone suitable for you on the IAPMD provider directory.
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Visit www.iapmd.org/surgery for lots of evidence-based information and resources for those considering, going through or recovering from surgery for PMDD/PME.